エキスパートはこう考える第7回 回答

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<Key words>ブラ壁肥厚、菌球、fungus ball、 アスペルギルス症、アスペルギローマ、aspergilloma, invasive aspergillosis, semi-invasive aspergillosis, ABPA, 宿主や局所の免疫状態

<論文>

日本語のまとまった肺真菌症のPDF
国立病院機構東京病院臨床研究部長 倉島 篤行 のPDFより引用リンク
http://medical.radionikkei.jp/abbott/final/pdf/051125.pdf

Agarwal R, Gupta D, Aggarwal AN, et al.
Clinical significance of hyperattenuating mucoid impaction in allergic bronchopulmonary aspergillosis: an analysis of 155 patients.
Chest. 2007 Oct;132(4):1183-90. Epub 2007 Jul 23.
http://chestjournal.chestpubs.org/content/132/4/1183.full.pdf+html

Jeong YJ, Kim KI, Seo IJ, et al.
Eosinophilic lung diseases: a clinical, radiologic, and pathologic overview.
Radiographics. 2007 May-Jun;27(3):617-37; discussion 637-9.

Kobashi Y, Fukuda M, Yoshida K, Miyashita N, Niki Y, Oka M.
Chronic necrotizing pulmonary aspergillosis as a complication of pulmonary Mycobacterium avium complex disease.
Respirology. 2006 Nov;11(6):809-13.

Althoff Souza C, Muller NL, Marchiori E, et al.
Pulmonary invasive aspergillosis and candidiasis in immunocompromised patients: a comparative study of the high-resolution CT findings.
J Thorac Imaging. 2006 Aug;21(3):184-9.

Agarwal R, Gupta D, Aggarwal AN, et al.
Allergic bronchopulmonary aspergillosis: lessons from 126 patients attending a chest clinic in north India.
Chest. 2006 Aug;130(2):442-8.
http://chestjournal.chestpubs.org/content/130/2/442.full.pdf+html

Brodoefel H, Vogel M, Hebart H, et al.
Long-term CT follow-up in 40 non-HIV immunocompromised patients with invasive pulmonary aspergillosis: kinetics of CT morphology and correlation with clinical findings and outcome.
AJR Am J Roentgenol. 2006 Aug;187(2):404-13.
http://www.ajronline.org/cgi/reprint/187/2/404

Horger M, Hebart H, Einsele H, et al.
Initial CT manifestations of invasive pulmonary aspergillosis in 45 non-HIV immunocompromised patients: association with patient outcome?
Eur J Radiol. 2005 Sep;55(3):437-44. Epub 2005 Jan 28

Lee YR, Choi YW, Lee KJ, et al.
CT halo sign: the spectrum of pulmonary diseases.
Br J Radiol. 2005 Sep;78(933):862-5. Review.
http://bjr.birjournals.org/cgi/reprint/78/933/862

Horger M, Einsele H, Schumacher U, Wehrmann M, Hebart H, Lengerke C, Vonthein R, Claussen CD, Pfannenberg C.
Invasive pulmonary aspergillosis: frequency and meaning of the “hypodense sign” on unenhanced CT.
Br J Radiol. 2005 Aug;78(932):697-703.
http://bjr.birjournals.org/cgi/reprint/78/932/697

Sonnet S, Buitrago-Tellez CH, Tamm M, et al.
Direct detection of angioinvasive pulmonary aspergillosis in immunosuppressed patients: preliminary results with high-resolution 16-MDCT angiography.
AJR Am J Roentgenol. 2005 Mar;184(3):746-51.
http://www.ajronline.org/cgi/reprint/184/3/746

Andreu J, Caceres J, Pallisa E, et al.
Radiological manifestations of pulmonary tuberculosis.
Eur J Radiol. 2004 Aug;51(2):139-49.

Franquet T, Gimenez A, Hidalgo A.
Imaging of opportunistic fungal infections in immunocompromised patient.
Eur J Radiol. 2004 Aug;51(2):130-8.

Buckingham SJ, Hansell DM
Aspergillus in the lung: diverse and coincident forms.
Eur Radiol. 2003 Aug;13(8):1786-800. Epub 2003 May 29.

Kang EY, Kim DH, Woo OH, et al.
Pulmonary aspergillosis in immunocompetent hosts without underlying lesions of the lung: radiologic and pathologic findings.
AJR Am J Roentgenol. 2002 Jun;178(6):1395-9.
http://www.ajronline.org/cgi/reprint/178/6/1395

Franquet T, Serrano F, Gimenez A, et al.
Necrotizing aspergillosis of large airways: CT findings in eight patients.
J Comput Assist Tomogr. 2002 May-Jun;26(3):342-5.

Kato T, Usami I, Morita H, et al.
Chronic necrotizing pulmonary aspergillosis in pneumoconiosis: clinical and radiologic findings in 10 patients.
Chest. 2002 Jan;121(1):118-27.
http://chestjournal.chestpubs.org/content/121/1/118.full.pdf+html

Soubani AO, Chandrasekar PH
The clinical spectrum of pulmonary aspergillosis.
Chest. 2002 Jun;121(6):1988-99.
http://chestjournal.chestpubs.org/content/121/6/1988.full.pdf+html

Franquet T, Muller NL, Gimenez A, et al.
Spectrum of pulmonary aspergillosis: histologic, clinical, and radiologic findings.
Radiographics. 2001 Jul-Aug;21(4):825-37. Review.
http://radiographics.rsna.org/content/21/4/825.full.pdf+html

Kim MJ, Lee KS, Kim J, et al.
Crescent sign in invasive pulmonary aspergillosis: frequency and related CT and clinical factors.
J Comput Assist Tomogr. 2001 Mar-Apr;25(2):305-10.

Aquino SL, Kee ST, Warnock ML, et al.
Pulmonary aspergillosis: imaging findings with pathologic correlation.
AJR Am J Roentgenol. 1994 Oct;163(4):811-5.
http://www.ajronline.org/cgi/reprint/163/4/811

Greene R
The pulmonary aspergilloses: three distinct entities or a spectrum of disease.
Radiology 1981 Aug;140(2):527-30.

Klein DL, Gamus G
Thoracic manifestations of aspergillosis.
AJR Am J Roentgneol. 1980 Mar;134(3):543-52.
http://www.ajronline.org/cgi/reprint/134/3/543
単純写真のみをまとめたレビュー論文

内科系論文
Bulpa P, Dive A, Sibille Y.
Invasive pulmonary aspergillosis in patients with chronic obstructive pulmonary disease.
Eur Respir J. 2007 Oct;30(4):782-800.
http://erj.ersjournals.com/cgi/reprint/30/4/782

Muquim A, Dial S, Menzies D.
Invasive aspergillosis in patients with chronic obstructive pulmonary diseases.
Can Respir J. 2005 May-Jun;12(4):199-204.
http://www.ncbi.nlm.nih.gov/sites/pubmed  右上のFull text article pulsus をクリックした後、さらに PDF/Free をクリックするとPDFが入手可能

 

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1 年前の胸部単純写真1 年前の胸部単純写真 1 年前の胸部 CT1 年前の胸部 CT
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今回の胸部単純写真左下肺野今回の胸部単純写真左下肺野 今回の CT1今回の CT1
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第6回(その2) 単純写真とCTの問題(難易度易)

臨床症状:84才 男性 咳。 診断は?

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第五回(その2) 単純写真とCTの問題(難易度易)

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エキスパートはこう考える第四回 CTの問題

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